QUARTERLY REPORT

January - March 2013

The Illinois Department of Public Health has initiated action, as indicated, against the following facilities which have been determined to be in violation of the Nursing Home Care Act, or has recommended decertification to the Director of the Department of Healthcare and Family Service, or the Secretary of the United States Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Federal Social Security Act.

FACILITY NAME: Abington of Glenview
FACILITY ADDRESS: 3901 Glenview Road
Glenview, IL 60025

DOCKET #: NH 13-S0075
NAME OF OWNER OR LICENSEE: Glen Ridge Associates II Limited Partnership
ADDRESS: 3901 Glenview Road
Glenview, IL 60025

Re: Survey of 2-1-13 On March 14, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Alden Estates of Evanston
FACILITY ADDRESS: 2520 Gross Point Road
Evanston, IL 60201

DOCKET #: NH 13-S0091
NAME OF OWNER OR LICENSEE: Alden Estates of Evanston
ADDRESS: 4200 West Peterson, Ste. 140
Chicago, IL 60646

Re: Survey of 2-15-13 On March 20, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.

FACILITY NAME: Alden Gardens of Waterford
FACILITY ADDRESS: 1955 Randi Dr.
Aurora, IL 60504

DOCKET #: NH 10-C0286
NAME OF OWNER OR LICENSEE: Alden Gardens of Waterford, LLC
ADDRESS: 4200 West Peterson Ave.
Chicago, IL 60646

Re: Survey of 7-1-10 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Town Manor Rehabilitation and Health Care Center
FACILITY ADDRESS: 6120 West Ogden
Cicero, IL 60804

DOCKET #: NH 10-C0102 NH 11-O0081
NAME OF OWNER OR LICENSEE: Alden – Town Manor Rehabilitation and Health Care Center, Inc. .
ADDRESS: 4200 West Peterson Ave, Ste. 140
Chicago, IL 60646

Re: Surveys of 3-30-10 & 1-28-11 By Final Order for both surveys, Violations Amended, Fine Assessments Amended and Consolidated and Notices of Conditional License and License Revocation Withdrawn.

FACILITY NAME: Alden Town Manor Rehabilitation and Healthcare Center
FACILITY ADDRESS: 6120 West Ogden
Cicero, IL 60804

DOCKET #: NH 11-C0426
NAME OF OWNER OR LICENSEE: Alden-Town Manor Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 West Peterson Ave, Ste. 140
Chicago, IL 60646

Re: Survey of 12-1-11 By Final Order, Violation Amended, Fine Assessment Amended and Notice of Conditional License Withdrawn.

FACILITY NAME: Aria Post Acute Care
FACILITY ADDRESS: 4600 North Frontage Road
Hillside, IL 60162

DOCKET #: NH 13-C0093
NAME OF OWNER OR LICENSEE: Aria Post Acute Care, LLC
ADDRESS: 801 Adlai Stevenson Dr.
Springfield, IL 62703

Re: Survey of 2-7-13 On March 27, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: All Faith Pavilion
FACILITY ADDRESS: 3500 South Giles Ave. Chicago, IL 60660

DOCKET #: NH 12-O0051 NH 12-C0170 NH 12-C0078 NH 11-C0415
NAME OF OWNER OR LICENSEE: PHWD, LLC
ADDRESS: 8320 Skokie Blvd.
Skokie, IL 60077

Re: Surveys of 11-10-11, 2-14-12, & 3-9-12 By Final Order, Violations Affirmed, Fine Assessment Reduced and License Will Be Surrendered.

FACILITY NAME: The Arthur Home
FACILITY ADDRESS: 423 Eberhardt Dr.
Arthur, IL 61911

DOCKET #: NH 12-S0505
NAME OF OWNER OR LICENSEE: Community Retirement, Inc.
ADDRESS: 423 Eberhardt Dr.
Arthur, IL 61911

Re: Survey of 11-9-12 On January 3, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Belleville Healthcare and Rehabilitation
FACILITY ADDRESS: 150 North 27th St.
Belleville, IL 62226

DOCKET #: NH 13-C0009
NAME OF OWNER OR LICENSEE: Belleville Healthcare and Rehabilitation Center, Inc.
ADDRESS: 465 Central Ave, Ste. 100
Northfield, IL 60093

Re: Survey of 12-5-12 On January 8, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing was requested. By Final Order, Violation Amended and Fine Assessment Affirmed.

FACILITY NAME: Breese Nursing Home
FACILITY ADDRESS: 1155 North First St.
Breese, IL 62230

DOCKET #: NH 13-S0057
NAME OF OWNER OR LICENSEE: Caring First, Inc
ADDRESS: 12 Wolf Creek Dr, Ste. 100
Belleville, IL 62226

Re: Survey of 1-8-13 On February 25, 2013, sent Notice of Type "A" and Type "B" Violations relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $14,700.

FACILITY NAME: Bridgeway Christian Village Rehab. and Skilled Nursing Facility
FACILITY ADDRESS: 111 East Washington St.
Bensenville, IL 60106

DOCKET #: NH 12-C0212
NAME OF OWNER OR LICENSEE: Midwest Senior Ministries, Inc.
ADDRESS: 200 North Postville Dr.
Lincoln, IL 62656

Re: Survey of 4-17-12 By Final Order, Violation Amended, Fine Assessment Affirmed and Notice of Conditional License Withdrawn.

FACILITY NAME: Broadway Terrace
FACILITY ADDRESS: 43 Broadway
Chicago Heights, IL 60411

DOCKET #: NH 12-C0128
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 2-16-12 By Final Order, Violation Amended and Fine Assessment Affirmed.

FACILITY NAME: Bronzeville Park Nursing and Living Center
FACILITY ADDRESS: 3400 South Indiana
Chicago, IL 60616

DOCKET #: NH 13-S0014
NAME OF OWNER OR LICENSEE: Chevy Chase Corp.
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 11-9-12 On January 14, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Bronzeville Park Nursing and Living Center
FACILITY ADDRESS: 3400 South Indiana
Chicago, IL 60616

DOCKET #: NH 13-C0015
NAME OF OWNER OR LICENSEE: Chevy Chase Corp.
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 11-9-12 On January 10, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Center Home Hispanic Elderly
FACILITY ADDRESS: 1401 North California
Chicago, IL 60622

DOCKET #: NH 13-C0033
NAME OF OWNER OR LICENSEE: Center Home Hispanic Elderly, LLC
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 12-14-12 On February 6, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Chester Rehabilitation and Nursing Center
FACILITY ADDRESS: 770 State St.
Chester, IL 62233

DOCKET #: NH 13-C0036
NAME OF OWNER OR LICENSEE: Chester Rehabilitation and Nursing Center, LLC
ADDRESS: 8170 North McCormick Blvd, Ste. 219
Skokie, IL 60076

Re: Survey of 12-11-12 On February 6, 2013, sent Notice of Type "A" & "B" Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $13,600. A hearing has been requested.

FACILITY NAME: Columbia Rehabilitation and Nursing Center
FACILITY ADDRESS: 253 Bradington Dr.
Columbia, IL 62236

DOCKET #: NH 12-S0104
NAME OF OWNER OR LICENSEE: Columbia Care, Inc
ADDRESS: 2810 Frank Scott Pkwy W, Ste. 820 Belleville, IL 62223

Re: Survey of 3-1-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Community Nursing and Rehabilitation Center
FACILITY ADDRESS: 1136 North Mill St.
Naperville, IL 60563

DOCKET #: NH 13-C0098
NAME OF OWNER OR LICENSEE: MS Registered Agent Services
ADDRESS: 191 North Wacker Dr, Ste. 1800 Chicago, IL 60606

Re: Survey of 2-21-13 On March 21, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $ 2,200.

FACILITY NAME: Cumberland Rehabilitation and Health Care Center
FACILITY ADDRESS: 300 North Marietta St.
Greenup, IL 62428

DOCKET #: NH 12-C0131
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-1-12 By Final Order, Violation and Fine Assessment Withdrawn.

FACILITY NAME: Cumberland Rehabilitation and Care Center
FACILITY ADDRESS: 30 North Marietta St. Greenup, IL 62428

DOCKET #: NH 13-S0027
NAME OF OWNER OR LICENSEE: Petersen Health Care
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 12-20-12 On February 6, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Dearborn Court
FACILITY ADDRESS: 520 South Dearborn Ave.
Kankakee, IL 60901

DOCKET #: NH 11-S0329 NH 12-S0403
NAME OF OWNER OR LICENSEE: Pinnacle Opportunities, Inc
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Surveys of 9-22-12 & 8-6-12 By Final Order, Violations Amended, Fine Assessments Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: East Moline Nursing and Rehabilitation
FACILITY ADDRESS: 430 South 30th Ave.
East Moline, IL 61244

DOCKET #: NH 11-C0287 & 11-S0351
NAME OF OWNER OR LICENSEE: CRG EM Operator, LLC
ADDRESS: 8320 Skokie Blvd, Ste. 100
Skokie, IL 60077

Re: Surveys of 8-31-11 & 9-21-11 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Elmwood Terrace Healthcare Center
FACILITY ADDRESS: 1017 West Galena
Aurora, IL 60506

DOCKET #: NH 12-C0507
NAME OF OWNER OR LICENSEE: Elmwood Terrace Healthcare Center, Inc.
ADDRESS: 8170 North McCormick Blvd, Ste. 219
Skokie, IL 60076

Re: Survey of 11-30-12 On January 2, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Faith Care Center
FACILITY ADDRESS: 100 Faith Dr.
Highland, IL 62249

DOCKET #: NH 13-S0026
NAME OF OWNER OR LICENSEE: Faith Care, LLC
ADDRESS: 1320 Broadway
Highland, IL 62249

Re: Survey of 12-21-12 On January 25, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Forest Hill Health and Rehabilitation
FACILITY ADDRESS: 4747-11th St.
East Moline, IL 61244

DOCKET #: NH 12-C0462
NAME OF OWNER OR LICENSEE: Forest Hill Health and Rehabilitation Center, Inc.
ADDRESS: 3553 West Peterson, Ste. 101
Chicago, IL 60659

Re: Survey of 10-26-12 On January 7, 2013, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Forest View Rehabilitation and Nursing Center
FACILITY ADDRESS: 535 South Elm
Itasca, IL 60143

DOCKET #: NH 13-C0070
NAME OF OWNER OR LICENSEE: Forest View Rehabilitation and Nursing Center, LLC
ADDRESS: 150 Fencl Lane
Hillside, IL 60162

Re: Survey of 2-5-13 On March 4, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Glenlake Terrace Nursing and Rehabilitation
FACILITY ADDRESS: 2222 West 14th St.
Waukegan, IL 60085

DOCKET #: NH 13-S0042
NAME OF OWNER OR LICENSEE: Pinnacle, Inc
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 12-24-12 On February 5, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Greek American Rehabilitation and Care Center
FACILITY ADDRESS: 220 North First St.
Wheeling, IL 60090

DOCKET #: NH 12-S0436
NAME OF OWNER OR LICENSEE: The Greek American Rehabilitation and Care Centre, Inc
ADDRESS: 220 North First St.
Wheeling, IL 60090

Re: Survey of 10-5-12 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: The Grove of Evanston
FACILITY ADDRESS: 500 Asbury St.
Evanston, IL 60202

DOCKET #: NH 12-C0197
NAME OF OWNER OR LICENSEE: Grove of Evanston, LLC
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 4-3-12 By Final Order, Violation Affirmed and Fine Assessment Reduced.

FACILITY NAME: Grove of Skokie Living and Rehabilitation
FACILITY ADDRESS: 9000 North Lavergne Ave.
Skokie, IL 60077

DOCKET #: NH 13-S0056
NAME OF OWNER OR LICENSEE: The Grove of Skokie Living and Rehab Center, LLC
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 1-23-13 On February 28, 2013, sent Notice of Type "A" Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Harris Place
FACILITY ADDRESS: 209 Harris Road
East Peoria, IL 61611

DOCKET #: NH 11-S0367
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc
ADDRESS: 3615 Park Dr, Ste. 100
Olympia Fields, IL 60461

Re: Survey of 10-14-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Heartland of Decatur
FACILITY ADDRESS: 444 West Harrison St.
Decatur, IL 62526

DOCKET #: NH 13-S0022
NAME OF OWNER OR LICENSEE: Heartland of Decatur, IL, LLC
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, IL 60604

Re: Survey of 11-30-12 On January 25, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Heartland of Normal
FACILITY ADDRESS: 510 Broadway
Normal, IL 60604

DOCKET #: NH 13-S0011
NAME OF OWNER OR LICENSEE: Heartland of Normal, IL, LLC.
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, IL 60604

Re: Survey of 11-29-12 On January 8, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Helia Healthcare of Champaign
FACILITY ADDRESS: 1915 South Mattis St.
Champaign, IL 61821

DOCKET #: NH 13-S0016
NAME OF OWNER OR LICENSEE: Helia Healthcare of Champaign, LLC.
ADDRESS: 600 South 2nd St., Ste. 103
Springfield, IL 62701

Re: Survey of 10-24-12 On January 10, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Heritage Health - Bloomington
FACILITY ADDRESS: 700 East Walnut St.
Bloomington, IL 61701

DOCKET #: NH 13-S0078
NAME OF OWNER OR LICENSEE: Heritage Manor – Bloomington, LLC
ADDRESS: 115 West Jefferson St., Ste. 400
Bloomington, IL 61701

Re: Survey of 2-8-13 On March 26, 2013, sent Notice of Type "A" Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Heritage Health – Gibson City
FACILITY ADDRESS: 620 East First St.
Gibson City, IL 60936

DOCKET #: NH 13-S0090
NAME OF OWNER OR LICENSEE: Heritage Manor – Gibson City
ADDRESS: 115 West Jefferson St., Ste. 400
Bloomington, IL 61701

Re: Survey of 2-15-13 On March 26, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Heritage Health - Peru
FACILITY ADDRESS: 1301 21st St.
Peru, IL 61354

DOCKET #: NH 13-C0031
NAME OF OWNER OR LICENSEE: Heritage Manor – Peru, LLC
ADDRESS: 115 West Jefferson St., Ste. 400
Bloomington, IL 61701

Re: Survey of 11-30-12 On February 6, 2013, sent Notice of Type "B" Violations relating to the area of nursing and Notice of Fine Assessment of $4,400.

FACILITY NAME: Highland Park Nursing and Rehabilitation
FACILITY ADDRESS: 8131 North Monticello Ave.
Skokie, IL 60076

DOCKET #: NH 13-C0067
NAME OF OWNER OR LICENSEE: Highland Park Nursing and Rehabilitation Center, LLC
ADDRESS: 8131 North Monticello Ave.
Skokie, IL 60076

Re: Survey of 2-1-13 On March 4, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Holy Family Villa
FACILITY ADDRESS: 12220 South Will Cook Road
Palos Park, IL 60464

DOCKET #: NH 13-S0020
NAME OF OWNER OR LICENSEE: Holy Family Villa
ADDRESS: 721 North LaSalle St.
Chicago, IL 60654

Re: Survey of 12-20-12 On January 25, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Jackson Square Skilled Nursing and Living
FACILITY ADDRESS: 5130 West Jackson Blvd.
Chicago, IL 60644

DOCKET #: NH 13-C0089
NAME OF OWNER OR LICENSEE: Jackson Corp.
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 1-30-13 On March 28, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: King Bruwaert House
FACILITY ADDRESS: 2215 York Road, Ste. 550
Oak Brook, IL 60523

DOCKET #: NH 12-S0508
NAME OF OWNER OR LICENSEE: King-Bruwaert
ADDRESS: 2215 York Road, Ste. 550
Oak Brook, IL 60523

Re: Survey of 11-15-12 On January 2, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Lexington of Schaumburg
FACILITY ADDRESS: 675 South Roselle Road
Schaumburg, IL 60193

DOCKET #: NH 13-C0103
NAME OF OWNER OR LICENSEE: Lexington Health Care Center of Schaumburg, Inc
ADDRESS: 665 West North Ave.
Lombard, IL 60148

Re: Survey of 2-26-13 On March 21, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Lutheran Care Center
FACILITY ADDRESS: 702 West Cumberland
Altamont, IL 62411

DOCKET #: NH 13-C0035
NAME OF OWNER OR LICENSEE: Lutheran Care Center
ADDRESS: 702 West Cumberland Road
Altamont, IL 62411

Re: Survey of 1-3-13 On February 5, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Manor Court of Peoria
FACILITY ADDRESS: 6900 North Stalworth Dr.
Peoria, IL 61615

DOCKET #: NH 13-C0044
NAME OF OWNER OR LICENSEE: Residential Alternatives of Illinois, Inc
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 12-27-12 On February 7, 2013, sent Notice of Type "A" Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Manorcare of Libertyville
FACILITY ADDRESS: 1500 South Milwaukee Ave.
Libertyville, IL 60048

DOCKET #: NH 13-C0061
NAME OF OWNER OR LICENSEE: Manor Care of Libertyville, IL, LLC
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, IL 60604

Re: Survey of 1-9-13 On February 25, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Manorcare of Palos Heights West
FACILITY ADDRESS: 11860 Southwest Highway
Palos Heights, IL 60463

DOCKET #: NH 13-S0010
NAME OF OWNER OR LICENSEE: Manor Care of Palos Heights (West) IL, LLC.
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, IL 60604

Re: Survey of 11-28-12 On January 10, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Mather Pavilion
FACILITY ADDRESS: 820 Foster St.
Evanston, IL 60201

DOCKET #: NH 12-S0280
NAME OF OWNER OR LICENSEE: Mather Health Care, Inc.
ADDRESS: 1603 Orrington Ave, Ste. 1800
Evanston, IL 60201

Re: Survey of 5-24-12 By Final Order, Violation Reduced and Fine Assessment Affirmed.

FACILITY NAME: Mayfield Care Center
FACILITY ADDRESS: 5905 West Washington
Chicago, IL 60644

DOCKET #: NH 13-C0079
NAME OF OWNER OR LICENSEE: Mayfield Care Center, Inc.
ADDRESS: 3553 West Peterson, Ste. 300
Chicago, IL 60659

Re: Survey of 1-2-13 On March 14, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Meadowbrook Manor LaGrange
FACILITY ADDRESS: 339 9th Ave.
LaGrange, IL 60525

DOCKET #: NH 12-C0506
NAME OF OWNER OR LICENSEE: Butterfield Health Care VII, LLC
ADDRESS: 161 North Clark St., Ste. 4200
Chicago, IL 60601

Re: Survey of 11-15-12 On January 10, 2013, sent Notice of Type "Repeat B" Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $2,200. A hearing has been requested.

FACILITY NAME: Medina Nursing Center
FACILITY ADDRESS: 402 South Center St.
Durand, IL 61024

DOCKET #: NH 12-S0317
NAME OF OWNER OR LICENSEE: Medina Nursing Center, Inc.
ADDRESS: Center St.
Durand, IL 61024

Re: Survey of 6-28-12 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: Mercer County Nursing Home
FACILITY ADDRESS: 309 Northwest 9th Ave.
Aledo, IL 61231

DOCKET #: NH 13-S0024
NAME OF OWNER OR LICENSEE: Mercer County
ADDRESS: Mercer County Courthouse
Aledo, IL 61231

Re: Survey of 12-13-12 On January 25, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Midwest Rehabilitation and Respiratory
FACILITY ADDRESS: 727 North 17th St.
Belleville, IL 62226

DOCKET #: NH 13-C0032
NAME OF OWNER OR LICENSEE: Midwest Rehabilitation and Respiratory Center, LLC
ADDRESS: 8170 McCormick Blvd, Ste. 219
Skokie, IL 60076

Re: Survey of 12-19-12 On February 6, 2013, sent Notice of Type "A & B" Violations relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $13,600. A hearing has been requested.

FACILITY NAME: Milestone – Elmwood Heights
FACILITY ADDRESS: 2662 Elmwood Dr.
Rockford, IL 61103

DOCKET #: NH 12-S0444
NAME OF OWNER OR LICENSEE: Milestone, Inc.
ADDRESS: 4060 McFarland Road
Rockford, IL 61111

Re: Survey of 9-24-12 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: Oakview Heights Continuous Care and Rehabilitation Center
FACILITY ADDRESS: RR #4, 1320 West 9th St.
Mount Carmel, IL 62863

DOCKET #: NH 12-C0400
NAME OF OWNER OR LICENSEE: The General Baptist Nursing Home Incorporated of Illinois
ADDRESS: 1320 West 9th St.
Mount Carmel, IL 62863

Re: Survey of 8-15-12 By Final Order, Violation Reduced and Fine Assessment Affirmed.

FACILITY NAME: Park Haven Care Center
FACILITY ADDRESS: 107 South Lincoln
Smithton, IL 62285

DOCKET #: NH 13-S0095
NAME OF OWNER OR LICENSEE: SA – ENC Park Haven, LLC
ADDRESS: 1315 West Lawrence Ave.
Springfield, IL 62704

Re: Survey of 2-1-13 On March 29, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Patterson House
FACILITY ADDRESS: 307 East Jefferson
Sullivan, IL 61951

DOCKET #: NH 12-C0368
NAME OF OWNER OR LICENSEE: Patterson House, Inc.
ADDRESS: 110 Southbrooke Court
Decatur, IL 62521

Re: Survey of 7-24-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Prairieview Lutheran Home
FACILITY ADDRESS: P.O. Box 4, Corner of North and 4th
Danforth, IL 60930

DOCKET #: NH 12-C0335
NAME OF OWNER OR LICENSEE: Lutheran Home for Aged Development Corp
ADDRESS: 403 North 4th St., P.O. Box 4
Danforth, IL 60930

Re: Survey of 7-31-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Presence Villa Franciscan
FACILITY ADDRESS: 210 North Springfield Ave.
Joliet, IL 60435

DOCKET #: NH 13-C0092
NAME OF OWNER OR LICENSEE: Presence Life Connections
ADDRESS: 19065 Hickory Creek Dr.
Mokena, IL 60448

Re: Survey of 1-2-13 On March 29, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $25,000.

FACILITY NAME: Randolph House
FACILITY ADDRESS: 404 1st St., P.O. Box 279
Vandalia, IL 62471

DOCKET #: NH 13-C0059
NAME OF OWNER OR LICENSEE: Developmental Planning and Services, Inc.
ADDRESS: 62 Sugarapple Dr, RR #1
Xenia, IL 62899

Re: Survey of 1-3-13 On February 28, 2013, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $6,250.

FACILITY NAME: Renaissance at 87th Street
FACILITY ADDRESS: 2940 West 87th St.
Chicago, IL 60652

DOCKET #: NH 13-C0097
NAME OF OWNER OR LICENSEE: The Renaissance at 87th Street, Inc.
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 2-19-2013 On March 27, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Rest Haven Manor
FACILITY ADDRESS: 120 West Main
Albion, IL 62806

DOCKET #: NH 13-S0060
NAME OF OWNER OR LICENSEE: Rest Haven Manor, Inc.
ADDRESS: Box 511, 11th and State St.
Lawrenceville, IL 62439

Re: Survey of 1-11-13 On February 21, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Rosewood Care Center of Joliet
FACILITY ADDRESS: 3401 Hennepin Dr.
Joliet, IL 60431

DOCKET #: NH 13-C0074
NAME OF OWNER OR LICENSEE: Bravo Care of Joliet, Inc.
ADDRESS: 412 East Lawrence
Springfield, IL 62703

Re: Survey of 2-4-13 On March 14, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment or $1,100. A hearing has been requested.

FACILITY NAME: Salem Village Nursing and Rehabilitation
FACILITY ADDRESS: 1314 Rowell Ave.
Joliet, IL 60433

DOCKET #: NH 10-C0045
NAME OF OWNER OR LICENSEE: Salem Village Nursing and Rehabilitation Center, LLC
ADDRESS: 111 North Ottawa St.
Joliet, IL 60432

Re: Survey of 1-21-10 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Salem Village Nursing and Rehabilitation
FACILITY ADDRESS: 1314 Rowell Ave.
Joliet, IL 60433

DOCKET #: NH 13-C0058
NAME OF OWNER OR LICENSEE: Salem Village Nursing and Rehabilitation Center, LLC
ADDRESS: 111 North Ottawa St.
Joliet, IL 60432

Re: Survey of 1-19-13 On February 20, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Shady Oaks West
FACILITY ADDRESS: 16220 Parker Road
Lockport, IL 60441

DOCKET #: NH 13-C0037
NAME OF OWNER OR LICENSEE: Lutheran Social Services of Illinois
ADDRESS: 1001 East Touhy Ave, Ste. 50
Des Plaines, IL 60018

Re: Survey of 1-3-13 On February 5, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.

FACILITY NAME: Swansea Rehabilitation and Health Care Center
FACILITY ADDRESS: 1405 North Second St.
Swansea, IL 62226

DOCKET #: NH 13-S0018
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 11-28-12 On January 28, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $3,300.

FACILITY NAME: Symphony of Crestwood
FACILITY ADDRESS: 14255 South Cicero Ave.
Crestwood, IL 60445

DOCKET #: NH 13-C0017
NAME OF OWNER OR LICENSEE: Symphony Crestwood, LLC
ADDRESS: 8001 Adlai Stevenson Dr.
Springfield, IL 62703

Re: Survey of 12-14-12 On January 28, 2013, sent Notice of Type "B" Violations relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Symphony of Joliet
FACILITY ADDRESS: 306 North Larkin Ave.
Joliet, IL 60435

DOCKET #: NH 13-S0053
NAME OF OWNER OR LICENSEE: Symphony Deerbrook, LLC
ADDRESS: 801 Adlai Stevenson Dr.
Springfield, IL 62703

Re: Survey of 1-17-13 On February 20, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Terra Estates
FACILITY ADDRESS: 620 North Main St.
Hoyleton, IL 62803

DOCKET #: NH 11-S0312
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 2514 North Sheridan Road, P.O. 10528
Peoria, IL 61612

Re: Survey of 8-31-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Thomas Herbstritt House
FACILITY ADDRESS: 4003 North Rt 1 & 17, P.O. 260
Momence, IL 60954

DOCKET #: NH 13-S0038
NAME OF OWNER OR LICENSEE: Good Shepherd Manor, Inc.
ADDRESS: 4129 North Rt 1 & 17
Momence, IL 60954

Re: Survey of 1-3-13 On February 5, 2013, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.

FACILITY NAME: Tri-State Nursing and Rehabilitation Center
FACILITY ADDRESS: 2500 East 15th St.
Lansing, IL 60438

DOCKET #: NH 13-C0040
NAME OF OWNER OR LICENSEE: Tri-State Nursing and Rehabilitation Center, Inc.
ADDRESS: 8320 Skokie Blvd.
Skokie, IL 60077

Re: Survey of 1-2-13 On February 5, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Virgil Calvert Nursing and Rehabilitation Center
FACILITY ADDRESS: 5050 Summit Ave.
East St Louis, IL 62205

DOCKET #: NH 11-O0025 NH 10-C0105
NAME OF OWNER OR LICENSEE: Virgil Calvert Nursing and Rehabilitation Center, Inc.
ADDRESS: 30 South Wacker Dr, Ste. 2900
Chicago, IL 60606

Re: Surveys of 3-18-10 & 12-16-10 By Final Order, Violations Amended, Fine Assessment Affirmed, Notice of Revocation dismissed and Notice of Conditional License Withdrawn.

FACILITY NAME: Warren Park Health and Living Center
FACILITY ADDRESS: 6700 North Damen
Chicago, IL 60645

DOCKET #: NH 13-S0043
NAME OF OWNER OR LICENSEE: Warren Park Health and Living Center, LLC
ADDRESS: 6700 North Damen Ave.
Chicago, IL 60645

Re: Survey of 12-19-12 On February 8, 2103, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Waterfront Terrace
FACILITY ADDRESS: 7750 South Shore Dr.
Chicago, IL 60649

DOCKET #: NH 11-C0012
NAME OF OWNER OR LICENSEE: Waterfront Terrace
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 12-15-10 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: West Chicago Terrace Nursing Home
FACILITY ADDRESS: 928 Joliet Road West
Chicago, IL 60185

DOCKET #: NH 13-S0099
NAME OF OWNER OR LICENSEE: West Chicago Terrace Operator, LLC
ADDRESS: 6865 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey of 2-21-13 On March 21, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Woodbridge Nursing Pavilion
FACILITY ADDRESS: 2242 North Kedzie
Chicago, IL 60647

DOCKET #: NH 13-S0088
NAME OF OWNER OR LICENSEE: Woodbridge Nursing Pavilion, Inc.
ADDRESS: 191 North Wacker Dr, Ste. 1800
Chicago, IL 60606

Re: Survey of 1-31-13 On March 28, 2013, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.